Brunner & Suddarth's Textbook of
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1:
Question Type: MCQ
Question Stem:
Which action best reflects the professional nurse’s role as a
patient advocate?
Options:
A. Reinforcing the provider’s discharge instructions exactly as
written
B. Asking the nursing assistant to explain the plan of care to the
,patient
C. Reassuring the patient that the care team will decide what is
best
D. Questioning a discharge order that appears unsafe for the
patient’s current condition
Correct Answer:
D
Rationale for A:
Reinforcing instructions is part of nursing care, but advocacy
goes beyond repeating instructions. A professional nurse must
also recognize when a plan may not match the patient’s
condition or needs and act to protect the patient.
Rationale for B:
A nursing assistant cannot replace the nurse in explaining the
plan of care. Delegation does not transfer the nurse’s
responsibility to advocate, assess, and coordinate care.
Rationale for C:
The nurse should support the team’s work, but patient
advocacy requires active participation, not passive reassurance.
The nurse must speak up when patient safety may be
compromised.
Rationale for D:
This is the best example of advocacy because the nurse is
identifying a possible safety issue and using professional
,judgment to question it. Advocacy protects the patient from
harm and supports individualized, safe care.
Key Takeaway:
Advocacy means speaking up for patient safety, rights, and
appropriate care.
Question 2:
Question Type: MCQ
Question Stem:
A patient with limited English proficiency nods during discharge
teaching but answers questions with short, uncertain
responses. Which nursing action is best?
Options:
A. Ask the patient’s adult child to translate the teaching session
B. Use a certified medical interpreter and teach-back method
C. Provide written instructions in English because the patient
nodded
D. Ask the patient to sign the discharge form to confirm
understanding
Correct Answer:
B
Rationale for A:
Family members should not routinely be used as interpreters
for teaching because important details can be omitted or
, altered. A certified interpreter improves accuracy, privacy, and
patient safety.
Rationale for B:
This is the safest and most effective action. A certified
interpreter supports accurate communication, and teach-back
verifies understanding rather than assuming it based on
nodding or polite agreement.
Rationale for C:
Nodding does not prove understanding, especially when
language barriers exist. Written English instructions alone may
increase the risk of medication errors, nonadherence, or
readmission.
Rationale for D:
A signature confirms that paperwork was presented, not that
the patient understood the content. Understanding must be
assessed using communication techniques such as teach-back.
Key Takeaway:
Interpreter services plus teach-back are essential when
language barriers may affect understanding.
Question 3:
Question Type: MCQ
Medical-Surgical Nursing
16th Edition
• Author(s)Janice L. Hinkle; Kerry H.
Cheever; Kristen J. Overbaugh; Carolyn
E. Bradley
ISBN: 9781975221133
Question 1:
Question Type: MCQ
Question Stem:
Which action best reflects the professional nurse’s role as a
patient advocate?
Options:
A. Reinforcing the provider’s discharge instructions exactly as
written
B. Asking the nursing assistant to explain the plan of care to the
,patient
C. Reassuring the patient that the care team will decide what is
best
D. Questioning a discharge order that appears unsafe for the
patient’s current condition
Correct Answer:
D
Rationale for A:
Reinforcing instructions is part of nursing care, but advocacy
goes beyond repeating instructions. A professional nurse must
also recognize when a plan may not match the patient’s
condition or needs and act to protect the patient.
Rationale for B:
A nursing assistant cannot replace the nurse in explaining the
plan of care. Delegation does not transfer the nurse’s
responsibility to advocate, assess, and coordinate care.
Rationale for C:
The nurse should support the team’s work, but patient
advocacy requires active participation, not passive reassurance.
The nurse must speak up when patient safety may be
compromised.
Rationale for D:
This is the best example of advocacy because the nurse is
identifying a possible safety issue and using professional
,judgment to question it. Advocacy protects the patient from
harm and supports individualized, safe care.
Key Takeaway:
Advocacy means speaking up for patient safety, rights, and
appropriate care.
Question 2:
Question Type: MCQ
Question Stem:
A patient with limited English proficiency nods during discharge
teaching but answers questions with short, uncertain
responses. Which nursing action is best?
Options:
A. Ask the patient’s adult child to translate the teaching session
B. Use a certified medical interpreter and teach-back method
C. Provide written instructions in English because the patient
nodded
D. Ask the patient to sign the discharge form to confirm
understanding
Correct Answer:
B
Rationale for A:
Family members should not routinely be used as interpreters
for teaching because important details can be omitted or
, altered. A certified interpreter improves accuracy, privacy, and
patient safety.
Rationale for B:
This is the safest and most effective action. A certified
interpreter supports accurate communication, and teach-back
verifies understanding rather than assuming it based on
nodding or polite agreement.
Rationale for C:
Nodding does not prove understanding, especially when
language barriers exist. Written English instructions alone may
increase the risk of medication errors, nonadherence, or
readmission.
Rationale for D:
A signature confirms that paperwork was presented, not that
the patient understood the content. Understanding must be
assessed using communication techniques such as teach-back.
Key Takeaway:
Interpreter services plus teach-back are essential when
language barriers may affect understanding.
Question 3:
Question Type: MCQ
